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首页> 外文期刊>BMC Musculoskeletal Disorders >Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial [ACTRN12608000524392]
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Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial [ACTRN12608000524392]

机译：与普通运动处方相比，首选运动处方对非特异性下腰痛患者的结局影响：一项随机对照试验[ACTRN12608000524392]

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Background Non-specific chronic low back pain (NSCLBP) has become a significant problem due to high healthcare utilization, rising costs of care and perceived limitations of effectiveness of many current treatments. Systematic reviews have repeatedly concluded that, on average across participants, exercise for NSCLBP appears effective in decreasing pain and improving function. Not all people with NSCLBP benefit from exercise programs and it would assist care-providers and care-seekers if factors that impact on program effectiveness and success were identified. Methods and design The study will be a randomised controlled trial comparing an exercise rehabilitation program informed by a participant preferences questionnaire compared to a program without this guideline for patients with chronic low back pain. A sample of 150 patients will be recruited in Melbourne, Australia through community-based healthcare clinics that provide supervised exercise rehabilitation programs for people with non-specific chronic low back pain. Clinicians will be randomly assigned to exercise preferences questionnaire or no questionnaire and participants will be allocated in a concealed manner. A qualitative focus group study of exercise instructor feedback about the exercise preferences instrument will be embedded in the research design. Two qualitative focus group studies will also be conducted for participants in the intervention and the control groups to obtain feedback about participants' experiences of the two types of exercise programs. The primary outcomes will be functional ability, pain, fear avoidance, exercise adherence. Discussion This trial will evaluate the effectiveness of individualised exercise prescription compared to usual exercise prescription for NSCLP and, using feedback following the trial, refine the exercise preferences questionnaire.
机译：背景技术由于高的医疗保健利用率，不断增加的护理费用以及许多当前治疗方法的有效性局限性，非特异性慢性下腰痛（NSCLBP）已成为一个重大问题。系统评价反复得出结论，平均而言，参加者对NSCLBP的锻炼似乎对减轻疼痛和改善功能有效。并非所有患有NSCLBP的人都会从锻炼计划中受益，如果确定了影响计划有效性和成功的因素，它将有助于护理提供者和护理者。方法和设计该研究将是一项随机对照试验，将参加者偏好调查表告知的运动康复计划与无此指南的慢性腰背痛患者进行比较。将通过基于社区的医疗诊所在澳大利亚墨尔本招募150名患者，这些诊所为患有非特异性慢性下腰痛的人提供有监督的运动康复计划。将随机分配临床医生以进行锻炼偏好调查表，或者不分配任何调查表，并且以隐蔽方式分配参与者。有关运动偏好工具的运动教练反馈的定性焦点小组研究将被纳入研究设计。还将针对干预组和对照组进行两项定性焦点小组研究，以获取有关参与者对两种锻炼计划的体验的反馈。主要结果将是功能能力，疼痛，避免恐惧，坚持运动。讨论该试验将评估个性化运动处方相对于NSCLP常规运动处方的有效性，并使用试验后的反馈意见，完善运动偏好问卷。

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